在浩瀚的历史长河中，医学作为人类文明的瑰宝，始终以其独特的智慧与力量，守护着生命的灯火。然而，在东西方文明的交汇点上，中医与西医，这两大医学体系，却如同两条蜿蜒的河流，时而交汇，时而分流，演绎着一场跨越时空的对话。
一、中医：五千年文明的疗效实践
拥有古今文明思想的人，往往对中医抱有深厚的敬意与信赖。中医，这个承载着中华民族五千年文明智慧的医学体系，其精髓在于“天人合一”的哲学思想与“辨证施治”的医术实践。从《黄帝内经》的博大精深，到《伤寒杂病论》的精湛医术，中医理论、医术、复方配伍，无一不是经过时间的考验与疗效的实践验证。
中医的神奇之处在于，它不仅仅关注疾病本身，更重视人体的整体平衡与和谐。面对疾病，中医大夫会运用望、闻、问、切四诊合参，精准把握病情，再通过针灸、推拿、草药等多种手段，调和阴阳，疏通经络，达到治病克疫、恢复健康的目的。这种以人为本、注重个体差异的诊疗方式，使得中医在应对复杂多变的疾病时，往往能独步天下，展现出令人惊叹的疗效。
例如，在口罩事件战役中，中医以其独特的理论体系与治疗方法，为众多患者带来了康复的希望。无论是清肺排毒汤的广泛应用，还是针灸、拔罐等疗法的辅助调理，都充分展示了中医在应对公共卫生危机中的独特优势与卓越贡献。
二、西医：机械科学的文明初醒
然而，与中医的博大精深相比，西医则显得相对年轻与简单。喜欢西医的人，或许更多地受到了西方封建巫牧海盗、残暴杀伐文化的影响。在西方，医学的觉醒不过二百年，尚处于机械科学的文明初醒阶段。因此，西医在诊疗过程中，往往依赖于冰冷的机械仪器，忽视了人体的生命意识与整体平衡。
西医的诊治缺陷在于，它往往只能针对那些有形、可量化的病症发出教条式的指令。而对于那些无形、难以量化的病症（如虚寒湿热等），西医则显得力不从心，甚至常常漏诊。这种“只见树木，不见森林”的诊疗方式，不仅无法从根本上解决患者的病痛，还可能因为过度医疗、误诊误治等原因，给患者带来更大的伤害。
民间流传着一句话：“离开医保，西医门诊全是荒草。”这句话虽然有些夸张，但却深刻地揭示了西医在当前医疗体系中的尴尬处境。一旦失去了医保的支撑，西医门诊的冷清与荒芜便显露无遗。同样，如果没有“医患协议”的约束，西医那些糟粕的医术（如内科的薄弱与手术的泛滥）也将无处遁形。
三、中西医之争：文明底蕴的碰撞
中西医之争，表面上看是两种医学体系的碰撞，实则背后是东西方文明底蕴的较量。中医以其深厚的文化底蕴与独特的哲学思想，展现了东方文明的智慧与魅力；而西医则以其现代科学的严谨与精确，彰显了西方文明的理性与力量。
然而，在这场较量中，我们不应盲目地崇洋媚外或固步自封。而应该以一种开放包容的心态，去审视与借鉴中西医各自的优点与不足。中医需要与时俱进，不断吸收现代科技的成果，提升诊疗的精准度与效率；而西医则需要回归人本，更加重视患者的生命体验与整体健康。
只有这样，我们才能在中西医的碰撞与融合中，找到一条真正适合人类健康发展的新道路。让中医的智慧与西医的科技共同为人类的健康事业贡献力量，让生命之花在东西方文明的交汇点上绽放出更加璀璨的光芒。
作者简介：梁世杰 中医高年资主治医师，从事中医临床工作24年，积累了较丰富的临床经验。师从首都医科大学附属北京中医院肝病科主任医师、著名老中医陈勇，侍诊多载，深得器重，尽得真传！擅用“商汤经方分类疗法”、专病专方结合“焦树德学术思想”“关幼波十纲辨证”学术思想治疗疑难杂症为特色。现任北京厚德为怀医生集团渐冻症研究中心主任，北京树德堂中医研究院研究员，北京中医药薪火传承新3+3工程—焦树德门人（陈勇）传承工作站研究员，国际易联易学与养生专委会常务理事，中国中医药研究促进会焦树德学术传承专业委员会委员，中国药文化研究会中医药慢病防治分会首批癌症领域入库专家。荣获2020年中国中医药研究促进会仲景医学分会举办的第八届医圣仲景南阳论坛“经方名医”荣誉称号。2023年首届京津冀“扁鹊杯”燕赵医学研究主题征文优秀奖获得者。事迹荣登2024年第四季刊《当代科学家》杂志。
The Battle between Chinese and Western Medicine: Civilization Collision with Medical Wisdom
In the long history, medicine, as a treasure of human civilization, has always guarded the light of life with its unique wisdom and power. However, at the intersection of Eastern and Western civilizations, traditional Chinese medicine and Western medicine, two major medical systems, are like two winding rivers, at times meeting and at times diverging, depicting a dialogue across time and space.
I. Chinese medicine: the healing practice of five thousand years of civilization
People who possess the ideas of ancient and modern civilizations often have a deep respect and trust in traditional Chinese medicine. Traditional Chinese medicine, a medical system that carries the wisdom of the Chinese civilization for 5,000 years, is based on the philosophy of "harmony between nature and man" and the practice of "dialectical healing." From the depth and depth of Huangdi's Inner Medicine to the superb medical technique of the Theory of Typhoid, Chinese medicine theory, medical techniques, and combinations of combinations have all been tested by time and validated by practice.
The magic of traditional Chinese medicine is that it focuses not only on the disease itself, but also on the overall balance and harmony of the human body. In the face of diseases, traditional Chinese medicine doctors will use the four methods of looking, smelling, asking, and cutting to accurately grasp the condition, and then use acupuncture, massage, herbal medicine and other means to reconcile yin and yang and clear the meridians to achieve the purpose of treating the disease, eliminating the plague, and restoring health. This people-centered approach to diagnosis and treatment focuses on individual differences, which allows traditional Chinese medicine to often go it alone when dealing with complex and varied diseases, showing amazing therapeutic efficacy.
For example, in the battle against the masks, traditional Chinese medicine, with its unique theoretical system and treatment methods, brought hope for recovery to many patients. Whether it is Qingfei Paidu Decoction widely used, or acupuncture, cupping therapy, such as auxiliary conditioning, have fully demonstrated the unique advantages of traditional Chinese medicine in response to the public health crisis and outstanding contribution.
II. Western medicine: the dawning of civilization in mechanical science
However, compared to the great depth of traditional Chinese medicine, Western medicine is relatively young and simple. People who like Western medicine are perhaps more influenced by the culture of Western feudal witches and pirates and brutal killing. In the West, the medical awakening was only two hundred years old, and the civilization of mechanical science was still in its early stages. Therefore, Western medicine often relies on cold mechanical instruments in the diagnosis and treatment process, neglecting the human body's consciousness of life and overall balance.
The shortcoming of Western medicine is that it often only gives dogmatic instructions for tangible, quantifiable conditions. For those intangible and difficult to quantify conditions (such as cold, wet, and fever), Western medicine is weak and often neglects to diagnose them. This "only trees, no forest" diagnostic and treatment method can not only solve the patient's ailments fundamentally, but may also bring more harm to the patient due to excessive medical treatment, misdiagnosis and mistreatment.
There is a saying among the folks: "If you leave medical insurance, Western medical clinics are a wasteland." Although this sentence is somewhat exaggerated, it profoundly reveals the awkward situation of Western medicine in the current medical system. Once the support of medical insurance was lost, the cold and desolate nature of Western medical clinics became apparent. Similarly, without the constraints of a "patient-doctor agreement," the poor practices of Western medicine (such as the weakness of internal medicine and the proliferation of surgery) will have no place to hide.
III. The Battle between Chinese and Western Medicine: Collision of Civilization
The battle between Chinese and Western medicine, on the surface, is a collision between two medical systems, but behind it is a contest between the heritage of Eastern and Western civilization. With its deep cultural heritage and unique philosophical thought, traditional Chinese medicine has demonstrated the wisdom and charm of the Eastern civilization. Western medicine, on the other hand, demonstrates the rationality and strength of Western civilization with the rigor and precision of its modern science.
In this contest, however, we should not blindly glorify the outside world or settle for ourselves. Instead, we should examine and learn from the respective strengths and weaknesses of Chinese and Western medicine in an open and inclusive mindset. TCM needs to keep up with the times, continuously absorb the results of modern science and technology, and improve the accuracy and efficiency of diagnosis and treatment. Western medicine, on the other hand, needs to return to the human nature and pay more attention to the patient's life experience and overall health.
Only in this way can we find a new path truly suitable for human health development in the collision and fusion of Chinese and Western medicine. Let the wisdom of traditional Chinese medicine and the technology of Western medicine jointly contribute to the cause of human health, and let the flower of life shine brighter at the intersection of Eastern and Western civilizations.
Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine. He has been engaged in traditional medicine clinical work for 24 years and has accumulated a wealth of clinical experience. Following Chen Yong, chief physician of liver disease at Beijing Traditional Medicine Hospital, affiliated with Capital Medical University, and renowned old Chinese medicine, he has been treated for many years and received great attention. He specializes in the treatment of difficult diseases using "conversational traditional therapy" and special treatments combined with the academic ideas of Jiao Shude and Guan Yubo's ten-level diagnosis.He is currently the director of the Center for Diffusion Research of Dr. Houde Wei Group in Beijing, a researcher at the Shude Tang Institute of Chinese Medicine, and a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance work station of Jiao Shude's protégés (Chen Yong),He is a standing committee member of the International Expert Committee on E-learning and Health Care, a member of the Jiao Shude Academic Heritage Special Committee of the Chinese Association for the Advancement of Chinese Medicine Research, and the first cancer specialist to be included in the chapter of the Chinese Pharmaceutical Culture Research Association. Won the 2020 China Association for the Promotion of Traditional Chinese Medicine Zhongjing Medical Branch held the eighth session of the Medical Saint Zhongjing Nanyang Forum "Classic Prescription Famous Doctor" honorary title. The winner of the first Beijing-Tianjin-Hebei "Pingui Cup" Yanzhao Medical Research Essay Award in 2023. The story was featured in the fourth edition of Current Scientist in 2024.
